Organization
GENEVA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER S. COSPER M.D. (PRESIDENT)
(334) 684-9208
Entity
Organization
Contact information
Practice address
701 W MAPLE AVE, GENEVA, AL 36340-1609
(334) 684-9208
(334) 684-1302
Mailing address
701 W MAPLE AVE, PO BOX 328, GENEVA, AL 36340-1609
(334) 684-9208
(334) 684-1302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00019314
AL
Other
Enumeration date
08/03/2006
Last updated
04/09/2008
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